Individual provider Active NPI

Thomas P Ragukonis, M.D.

  • Interventional Pain Medicine Physician
  • Paramus, NJ
National Provider Identifier
1992744312
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MA05874700 Issued in NJ
Practice address
37 W Century Rd
Suite 101
Paramus, NJ 07652-1466
Phone
(201) 634-9000
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X MA05874700 NJ Primary

Addresses

Primary practice location

37 W Century Rd
Suite 101
Paramus, NJ 07652-1466

Mailing address

37 W Century Rd
Suite 101
Paramus, NJ 07652-1466
Phone (201) 986-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050120000095 NJ Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 4981509585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Medical Care LLCGroup PAC ID 6305383670, 3 clinicians

Practice addresses (Care Compare)

37 W Century Rd
Paramus, NJ 07652-1466
Phone (201) 986-1003

Hospital & facility affiliations

  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA05874700NJMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen Pain Management PC Interventional Pain Medicine CurrentSince Jan 1, 2000 Accepting new patients
Integrated Medical Care LLC Interventional Pain Medicine CurrentSince Aug 1, 2024 Accepting new patients
Intuitive Medical Group, LLC CurrentSince Oct 15, 2020 Accepting new patients
Yankee Surgical Center LLC PastSince Jul 26, 2001 Accepting new patients
Anesthesia Associates of Essex County LLC PastSince Dec 16, 2004 Accepting new patients
Madison Medical and Sports Rehabilitation L.L.C PastSince May 15, 2003 Accepting new patients

Locations

654 Springfield Ave
Berkeley Hts, NJ 07922
Phone (908) 219-8800

30 W Century Rd
Paramus, NJ 07652
Phone (201) 261-2000

30 W Century Rd
Ste 310
Paramus, NJ 07652

37 W Century Rd
Ste 101
Paramus, NJ 07652
Phone (201) 634-9000

30 W Century Rd
#P
Paramus, NJ 07652

2333 Morris Ave
Ste A121
Union, NJ 07083
Phone (201) 969-9500

799 Bloomfield Ave
Ste 101
Verona, NJ 07044
Phone (973) 571-1600

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1992744312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W CENTURY RD",
            "address_2": "SUITE 101",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521466",
            "telephone_number": "201-986-1003",
            "fax_number": "201-986-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W CENTURY RD",
            "address_2": "SUITE 101",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521466",
            "telephone_number": "201-634-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGUKONIS",
        "first_name": "THOMAS",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "MA05874700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.